Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Mexico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Mexico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Mexico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

El Mirador Incorporated (NPI 1942617600)

Field	Value
Entity Type	Organization
Organization	El Mirador Incorporated
Address	10801 Lomas Blvd Ne Ste 115
City	Albuquerque
State	NM
ZIP	87112
Taxonomy	Home Health Agency
NPI Enumerated	July 15, 2014

Payer Source	Total Paid
Medicaid	$100.9M
Medicare	$0

Key Findings

EL MIRADOR INCORPORATED is effectively a single-payer Medicaid operator: there is no Medicare billing on file and all reported lifetime revenue is Medicaid at $100.9M. The absence of Medicare claims suggests the agency’s business and reimbursement exposure is concentrated entirely in state Medicaid programs rather than mixed Medicare/Medicaid caseloads.

Revenue is highly concentrated in a very small set of service lines: the top three Medicaid codes (99509, T1019, G9006) account for 98.5% of this provider's total Medicaid revenue. In dollar terms those three codes are reported as 99509 $66.4M (65.8%), T1019 $28.6M (28.4%), and G9006 $4.3M (4.3%), indicating the business depends overwhelmingly on a narrow set of home- and personal-care services.

The code mix indicates EL MIRADOR operates primarily as a hands-on home health and personal care provider. 99509 (home health provider visits for ADLs) is the largest revenue driver with 187.1K claims at $355 avg paid/claim and $66.4M revenue, while T1019 (personal care services per 15 minutes) shows very high utilization with 427.4K claims at $67 avg paid/claim and $28.6M revenue; together these two codes reflect a model built on frequent, time-based personal care and skilled visit activity.

Despite the concentration, the provider’s market position on key codes is strong but characterized as typical volume relative to peers: 99509 ranks #4 of 82 providers in-state (96th percentile; typical, unremarkable volume for this code), T1019 ranks #10 of 89 providers (90th percentile; typical, unremarkable volume for this code), and G9006 ranks #12 of 79 providers (86th percentile; typical, unremarkable volume for this code). These rankings show EL MIRADOR is a high-volume statewide participant for these home health and coordinated-care services but not uniquely anomalous in the Medicaid market.

Payment profile across the top services shows a mix of high-volume/low-unit and lower-volume/higher-unit codes: T1019 accounts for the largest claim count (427.4K) at a low average paid/claim ($67), while 99509 has fewer claims (187.1K) but a much higher avg paid/claim ($355); G9006 has modest claim volume (20.2K) with a higher avg paid/claim ($215). This combination implies operational reliance on sustained, time-based personal care delivery complemented by a smaller revenue contribution from home monitoring/coordination fees.

Therapy and other ancillary home health codes exist but contribute negligible revenue and show mixed peer footing: G0159 (PT maintenance) is a tiny revenue line ($12.5K) but ranks #1 of 2 in-state (100th percentile; typical, unremarkable volume for this code), while codes like G0157, G0151 and G0299 each contribute only a few tens of thousands of dollars and sit at lower state percentiles. These items suggest the agency offers some allied/therapy services but they are not material to the overall business.

The provider has been enumerated since 2014-07-15 (~12 years ago), indicating a mid-tenure presence in the state Medicaid market; combined with the concentrated revenue base and high percentile ranks on its top codes, this tenure supports the view of an established, Medicaid-focused home health operator that relies heavily on a small set of personal care and home-visit services.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	187,070	$360	$66.4M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	427,360	$70	$28.6M
G9006	Coordinated care fee, home monitoring	20,210	$220	$4.3M
S5125	Attendant care services; per 15 minutes	16,530	$70	$1.2M
S9999	Sales tax	4,970	$20	$94.4K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	970	$80	$79.8K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	560	$80	$44K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	350	$80	$28.7K
G0159	Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes	130	$100	$12.5K
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	80	$90	$6.9K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Mexico Distribution

El Mirador Incorporated — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	4	80	20,990	$310	$16.4M
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	10	90	92,900	$70	$13.3M
S5125	Attendant care services; per 15 minutes	19	50	10,600	$100	$4.3M
G9006	Coordinated care fee, home monitoring	12	80	3,840	$190	$2M
G0158	Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes	16	20	5,030	$110	$800.1K
G0151	Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes	49	60	2,860	$120	$642K
G0157	Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes	19	20	2,160	$100	$623.5K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	26	40	1,400	$90	$345.7K
S9999	Sales tax	14	160	800	$10	$25.2K
G0159	Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes	1	10	90	$100	$9.2K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as El Mirador Incorporated, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arca	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$91.7M
St. Anthony's Home Healthcare Service, LLC	NM	Home Health Agency	$0	$51.4M
Unica	NM	Community/Behavioral Health Agency	$0	$12.5M
Tasker Hatch Rowan LLC	NM	Dentist	$0	$9.8M
Quilted Care Ltd. Co.	NM	Assisted Living Facility	$0	$7.5M
Choice Recovery Path LLC	NM	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.4M
Bio-medical Applications Of New Mexico, Inc.	NM	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.1M
Foust Behavioral Services, LLC	NM	Social Worker	$0	$1.7M
Modern Pain & Spine PC	NM	Interventional Pain Medicine Physician	$0	$1.6M
Trucare Dental Wyoming Blvd LLC	NM	Dentist	$0	$1.4M

El Mirador Incorporated — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References